Medsurg 1- Brunner and Suddarth Final
Exam
A diabetic patient calls the clinic complaining of having a "flu bug." The nurse tells him to take his regular
dose of insulin. What else should the nurse tell the patient?
A. "Make sure to stick to your normal diet."
B. "Try to eat small amounts of carbs, if possible."
C. "Ensure that you check your blood glucose every hour."
D. "For now, check your urine for ketones every 8 hours." - correct answerB
A nurse cares for a client with obesity who is scheduled to undergo vagal blocking therapy. When
teaching the client about the procedure or device, which statements will the nurse include? Select all
that apply.
A. "It is a pacemaker-type device that is implanted under your skin."
B. "A pre-programed pulsating signal is delivered."
C. "Recharge the device two times per week." - correct answerABC
A nurse cares for an obese client who wants more information about naltrexone/bupropion to help with
weight loss. Which medical conditions does the nurse recognize as contraindications to this medication?
Select all that apply.
A. Uncontrolled hypertension
B. History of alcohol abuse
C. History of bulimia
D. Epilepsy - correct answerABCD
A nurse educator is teaching a group of recent nursing graduates about their occupational risks for
contracting hepatitis B. What preventative measures should the educator promote? Select all that apply.
A. Immunization
B. Use of standard precautions
C. Consumption of a vitamin-rich diet
,D. Annual vitamin K injections
E. Annual vitamin B12 injections - correct answerAB
A nurse is caring for a patient in the late stages of esophageal cancer. The nurse should plan to prevent
or address what characteristics of this stage of the disease? Select all that apply.
A. Perforation into the mediastinum
B. Development of an esophageal lesion
C. Erosion into the great vessels
D. Painful swallowing
E. Obstruction of the esophagus - correct answerACE
A nurse is caring for a patient who has a diagnosis of GI bleed. During shift assessment, the nurse finds
the patient to be tachycardic and hypotensive, and the patient has an episode of hematemesis while the
nurse is in the room. In addition to monitoring the patients vital signs and level of conscious, what would
be a priority nursing action for this patient?
A) Place the patient in a prone position.
B) Provide the patient with ice water to slow any GI bleeding.
C) Prepare for the insertion of an NG tube.
D) Notify the physician. - correct answerD
A nurse is caring for a patient who has been admitted for the treatment of advanced cirrhosis. What
assessment should the nurse prioritize in this patient's plan of care?
A. Measurement of abdominal girth and body weight
B. Assessment for variceal bleeding
C. Assessment for signs and symptoms of jaundice
D. Monitoring of results of liver function testing - correct answerB
A nurse is caring for a patient who has been admitted to the hospital with diverticulitis. Which of the
following would be appropriate nursing diagnoses for this patient? Select all that apply.
A. Acute Pain Related to Increased Peristalsis and GI Inflammation
B. Activity Intolerance Related to Generalized Weakness
, C. Bowel Incontinence Related to Increased Intestinal Peristalsis
D. Deficient Fluid Volume Related to Anorexia, Nausea, and Diarrhea
E. Impaired Urinary Elimination Related to GI Pressure on the Bladder - correct answerABD
A nurse is caring for a patient who is acutely ill and has included vigilant oral care in the patients plan of
care. Why are patients who are ill at increased risk for developing dental caries?
A. Hormonal changes brought on by the stress response cause an acidic oral environment
B. Systemic infections frequently migrate to the teeth
C. Hydration that is received intravenously lacks fluoride
D. Inadequate nutrition and decreased saliva production can cause cavities - correct answerD
A nurse is caring for a patient with COPD. The patients medication regimen has been recently changed
and the nurse is assessing for therapeutic effect of a new bronchodilator. What assessment parameters
suggest a consequent improvement in respiratory status?Select all that apply.
A) Negative sputum culture
B) Increased viscosity of lung secretions
C) Increased respiratory rate
D) Increased expiratory flow rate
E) Relief of dyspnea - correct answerDE
A nurse is caring for a postsurgical client with a Jackson-Pratt drain. Which type of wound drainage
should the nurse report to the health care provider?
A. large amounts of drainage that is clear and watery and has no smell
B. copious drainage that is blood-tinged
C. Small amount of drainage that appears to be mostly fresh blood
D. foul-smelling drainage that is grayish in color - correct answerD
A nurse is completing a focused respiratory assessment of a child with asthma. What assessment finding
is most closely associated with the characteristic signs and symptoms of asthma?
A) Shallow respirations
Exam
A diabetic patient calls the clinic complaining of having a "flu bug." The nurse tells him to take his regular
dose of insulin. What else should the nurse tell the patient?
A. "Make sure to stick to your normal diet."
B. "Try to eat small amounts of carbs, if possible."
C. "Ensure that you check your blood glucose every hour."
D. "For now, check your urine for ketones every 8 hours." - correct answerB
A nurse cares for a client with obesity who is scheduled to undergo vagal blocking therapy. When
teaching the client about the procedure or device, which statements will the nurse include? Select all
that apply.
A. "It is a pacemaker-type device that is implanted under your skin."
B. "A pre-programed pulsating signal is delivered."
C. "Recharge the device two times per week." - correct answerABC
A nurse cares for an obese client who wants more information about naltrexone/bupropion to help with
weight loss. Which medical conditions does the nurse recognize as contraindications to this medication?
Select all that apply.
A. Uncontrolled hypertension
B. History of alcohol abuse
C. History of bulimia
D. Epilepsy - correct answerABCD
A nurse educator is teaching a group of recent nursing graduates about their occupational risks for
contracting hepatitis B. What preventative measures should the educator promote? Select all that apply.
A. Immunization
B. Use of standard precautions
C. Consumption of a vitamin-rich diet
,D. Annual vitamin K injections
E. Annual vitamin B12 injections - correct answerAB
A nurse is caring for a patient in the late stages of esophageal cancer. The nurse should plan to prevent
or address what characteristics of this stage of the disease? Select all that apply.
A. Perforation into the mediastinum
B. Development of an esophageal lesion
C. Erosion into the great vessels
D. Painful swallowing
E. Obstruction of the esophagus - correct answerACE
A nurse is caring for a patient who has a diagnosis of GI bleed. During shift assessment, the nurse finds
the patient to be tachycardic and hypotensive, and the patient has an episode of hematemesis while the
nurse is in the room. In addition to monitoring the patients vital signs and level of conscious, what would
be a priority nursing action for this patient?
A) Place the patient in a prone position.
B) Provide the patient with ice water to slow any GI bleeding.
C) Prepare for the insertion of an NG tube.
D) Notify the physician. - correct answerD
A nurse is caring for a patient who has been admitted for the treatment of advanced cirrhosis. What
assessment should the nurse prioritize in this patient's plan of care?
A. Measurement of abdominal girth and body weight
B. Assessment for variceal bleeding
C. Assessment for signs and symptoms of jaundice
D. Monitoring of results of liver function testing - correct answerB
A nurse is caring for a patient who has been admitted to the hospital with diverticulitis. Which of the
following would be appropriate nursing diagnoses for this patient? Select all that apply.
A. Acute Pain Related to Increased Peristalsis and GI Inflammation
B. Activity Intolerance Related to Generalized Weakness
, C. Bowel Incontinence Related to Increased Intestinal Peristalsis
D. Deficient Fluid Volume Related to Anorexia, Nausea, and Diarrhea
E. Impaired Urinary Elimination Related to GI Pressure on the Bladder - correct answerABD
A nurse is caring for a patient who is acutely ill and has included vigilant oral care in the patients plan of
care. Why are patients who are ill at increased risk for developing dental caries?
A. Hormonal changes brought on by the stress response cause an acidic oral environment
B. Systemic infections frequently migrate to the teeth
C. Hydration that is received intravenously lacks fluoride
D. Inadequate nutrition and decreased saliva production can cause cavities - correct answerD
A nurse is caring for a patient with COPD. The patients medication regimen has been recently changed
and the nurse is assessing for therapeutic effect of a new bronchodilator. What assessment parameters
suggest a consequent improvement in respiratory status?Select all that apply.
A) Negative sputum culture
B) Increased viscosity of lung secretions
C) Increased respiratory rate
D) Increased expiratory flow rate
E) Relief of dyspnea - correct answerDE
A nurse is caring for a postsurgical client with a Jackson-Pratt drain. Which type of wound drainage
should the nurse report to the health care provider?
A. large amounts of drainage that is clear and watery and has no smell
B. copious drainage that is blood-tinged
C. Small amount of drainage that appears to be mostly fresh blood
D. foul-smelling drainage that is grayish in color - correct answerD
A nurse is completing a focused respiratory assessment of a child with asthma. What assessment finding
is most closely associated with the characteristic signs and symptoms of asthma?
A) Shallow respirations
